ClinicalTrials.gg
Enrolling by invitationNCT06415994Updated Jul 14, 2026

Multimodal Fetal and Placental Imaging and Biomarkers of Clinical Outcomes in Opioid Use Disorder

An observational study in Opioid Use Disorder, Substance-Related Disorders and Pregnancy Related, sponsored by Senthil Sadhasivam. Enrolling by invitation at 2 sites in United States. Open to female participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by Senthil Sadhasivam · Observational

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
18 Years to 100 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 1,222 studies in Opioid-Related Disorders with a site in United States — 245 open to participants now, 315 under way, 18 of them phase 3. Opioid-Related Disorders · United States.

Planned enrollment
32nd of 122
250 · median 85
Started
2024
with 86 others
Observational
122 of 1,222
29 open now
Primary completion
2028-12
later than 254 of 314 live
Registered
988th of 1,222
by date

Among the 1,222 studies in Opioid-Related Disorders with a site in United States, this one is the 32nd largest by planned enrollment of the 122 observational ones that give a count, is one of 87 that started in 2024, is one of 122 observational ones, reaches primary completion later than 254 of the 314 other live ones, and was the 988th registered.

Opioid-Related Disorders

1,473 studies on the registry are indexed under Opioid-Related Disorders; 290 are open to participants now.

Browse Opioid-Related Disorders studies →

Open to participants now

245 of the 1,222 studies in Opioid-Related Disorders with a site in United States are open now. Recruiting first, the newest first:

240 more — sign in →

All 245 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 210 Opioid-Related Disorders studies recruiting now, 122 (58%) set no upper age limit and 74 (35%) stop at 75 or younger; 14 take children under 18; 53 take healthy volunteers.

This study: 18 Years to 100 Years · female · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,222 studies in Opioid-Related Disorders with a site in United States, or all of them as a file.
02

Study summary

The goal of this observational study is to learn about the long term effects of prenatal opioid exposure. The main objectives are:

  • Long term goal: to improve the safety and efficacy of maternal Opioid Use Disorder (OUD) and eliminate neonatal opioid withdrawal syndrome (NOWS) and poor childhood neurodevelopment.
  • To characterize prenatal opioid exposure (POE) related placental and fetal brain structural and functional disruptions using longitudinal placenta-fetal brain magnetic resonance imaging (MRI) and determine proteomic, genomic, and epigenetic signatures of NOWS and poor infant neurodevelopment.

In this study participants will:

  • Receive two placental-fetal MRIs, one during second trimester and one in third trimester.
  • Answer surveys relating to their medical and social history.
  • Have blood drawn during pregnancy and delivery.
  • Child development follow up: answer surveys on their child's development milestones and at one year of life they will undergo a development assessment.
03

Conditions studied

  • Opioid Use Disorder
  • Substance-Related Disorders
  • Pregnancy Related
  • Narcotic-Related Disorders
  • Buprenorphine Dependence
  • Methadone Dependence

Keywords

  • Pregnant with Opioid Use Disorder
  • Opioid Use Disorder
  • Subutex
  • Buprenorphine
  • Pregnant taking buprenorphine/subutex
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Any woman of the age of 18 or older that is having a single pregnancy, and currently taking buprenorphine or methadone for opioid use disorder.

Eligibility criteria

Pregnant women with opioid use disorder

Inclusion Criteria:

  • Age >18 years
  • Currently taking buprenorphine or methadone for OUD and are enrolled in a prenatal opioid maintenance program
  • Singleton Pregnancy
  • Planned delivery at Indiana University or University of Pittsburgh study sites

Exclusion Criteria:

  • Serious maternal medical illness as deemed by study physician investigators that would make it challenging to comply with study procedures
  • Known or suspected major fetal/ neonatal congenital abnormalities
  • or AIDS

Infants with prenatal opioid exposure:

Inclusion:

  1. Prenatal buprenorphine or methadone exposure
  2. Born to mother enrolled in Opioid Use Disorder arm of study

Exclusion:

Major congenital anomalies or genetic syndromes affecting neurodevelopment

Control Pregnant Women:

Inclusion:

  1. Women >18 Years of age
  2. Healthy singleton pregnancy
  3. Planned delivery at Indiana University or University of Pittsburgh study sites

Exclusion:

  1. Serious maternal medical illness as deemed by study physician investigators that would make it challenging to comply with study procedures
  2. HIV or AIDS
  3. Known or suspected major fetal congenital abnormalities
  4. Any history of opioid misuse before or during pregnancy-per self-report and clinical notes.

Control infants:

Inclusion:

Born to control pregnant mother enrolled in study

Exclusion:

Any major congenital anomalies, genetic abnormalities, neurologic abnormalities, syndromes, or chronic medical conditions affecting neurodevelopment.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
250 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Pregnant Mothers with Opioid Use Disorder

    150 pregnant mothers with opioid use disorder who are on buprenorphine or methadone treatment

    Drug: Buprenorphine or Methadone Treatment · Diagnostic Test: Fetal and Placental MRI · Behavioral: Child Developmental Assessment · Behavioral: Questionnaires · Other: Blood and Placental Samples

  • Pregnant Mothers

    100 pregnant mother who to not have a history of opioid use disorder

    Diagnostic Test: Fetal and Placental MRI · Behavioral: Child Developmental Assessment · Behavioral: Questionnaires · Other: Blood and Placental Samples

Interventions

  • DrugBuprenorphine or Methadone Treatment

    Pregnant mothers must be taking Buprenorphine or Methadone

  • Diagnostic testFetal and Placental MRI

    Two MRIs : * Second Trimester * Third Trimester

  • BehavioralChild Developmental Assessment

    At 1 year of life child will receive a developmental assessment

  • BehavioralQuestionnaires

    Participants will answer questionnaires on their medical history, pregnancy, substance use, and after birth: their child's development

  • OtherBlood and Placental Samples

    At each MRI visit a blood sample will be collected for substances, DNA, RNA, epigenetics, and placental biomarkers. At delivery: A sample of placenta will be collected for RNA, DNA, and epigenetic analysis.

06

What researchers measure

Primary outcomes

  1. Alterations in fetal brain volume

    Comparing changes in fetal brain volume using MRI between babies who have had prenatal opioid exposure (POE) and controls

    Time frame: Between 20 weeks gestation and delivery

  2. Differences in placenta signal

    Comparing differences in placenta signal using MRI between the POE group and controls

    Time frame: Between 20 weeks gestation and delivery

Secondary outcomes

  1. Placental epigenetic changes related to POE

    Compare placental DNA methylation in POE group and control group

    Time frame: Between 20 weeks gestation and delivery

  2. Placental dysfunction biomarkers related to POE

    Compare concentrations of blood proteins in POE group vs controls

    Time frame: Between 20 weeks gestation and delivery

  3. Neonatal Opioid Withdrawal Syndrome (NOWS) severity

    Measuring NOWs severity in the POE group using eat sleep console scores

    Time frame: After birth through one year of life

  4. Length of Hospital Stay

    Measuring NOWs severity in the POE group using length of hospital stay

    Time frame: After birth through one year of life

  5. Ages and Stages Questionnaire Scores during infancy

    Comparing neurodevelopment of POE group and controls using the ages and stages questionnaire at multiple time points in baby's first year of life. This questionnaire assesses infants developmental level. Scores can identify whether child is below cutoff and needs professional intervention, close to cutoff and requires more developmental support and learning, or above cutoff and on track.

    Time frame: After birth through one year of life

  6. Neurocognitive and behavioral development assessment (Bayley-4) at one year of age

    Comparing neurodevelopment of POE group and controls using the Bayley's 4 assessment at one year of age. This assessment is administered by professionals to identify development delays in children.

    Time frame: After birth through one year of life

07

Study locations

2 sites
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2024 (actual). Primary completion is estimated for Dec 2028, 57 months after the start.

Of 74 non-industry observational studies under Opioid-Related Disorders, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 51. This study's planned 57 months is above that.

Counting every sponsor, half of 88 studies reached it within 27 months; a quarter within 13 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 4, 2024
First posted
May 16, 2024
StartActual
Feb 13, 2024
Primary completionEst.
Dec 1, 2028
CompletionEst.
Dec 1, 2029
Last update
Jul 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06415994
Lead sponsor
Senthil Sadhasivam
Responsible party
Senthil Sadhasivam (Professor, University of Pittsburgh) — Sponsor-investigator
First posted
May 16, 2024
Start date
Feb 13, 2024
Primary completion
Dec 1, 2028 (estimated)
Completion
Dec 1, 2029 (estimated)
Last update
Jul 14, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

No contact was published for this record. The registry link below has the sponsor’s details.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion